C&A Substance Abuse Iop

LBN: Behavioral Health Center Cmc Randolph
C&A Substance Abuse Iop is an health care organization with primary practice located at 330 Billingsley Road Behavioral Health Center Cmc Randolph, Charlotte NC 28211-1009. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Behavioral Health Center Cmc Randolph can be contacted via phone (704) 444-2484, or through Gettelman, Thomas E. via phone (704) 444-2406.

Contact Information

Primary practice address
330 Billingsley Road Behavioral Health Center Cmc Randolph Charlotte NC 28211-1009
Fax: (704) 444-2464
Website:
Authorized official contact:
Name: Gettelman, Thomas E. PHD

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X H0071 North Carolina

Profile Details

NPI number 1649450487
LBN Legal business name Behavioral Health Center Cmc Randolph
DBA Doing business as C&A Substance Abuse Iop
Authorized official Gettelman, Thomas E. PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2007
Last updated Nov 9th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649450487 NPPES
North Carolina MEDICAID 8300445Q

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